NR 325 Exam 1 Questions With
Complete Solutions
/. What disorder causes low serum osmolality?
A. SIADH
B. DI - Answer-✅A. SIADH
/.What disorder causes hemoconcentration of electrolytes?
A. SIADH
B. DI - Answer-✅B. DI (because you are peeing out all of the H2O)
/.What sound is indicative of a post-op thyroidectomy pt declining rapidly? - Answer-
✅Stridor (upper airway obstruction)
/.What would a pt experience with a thyroidectomy? What medication would they be on?
- Answer-✅Pt would experience hypothyroidism.
Pt would be on Synthroid (levothyroxine) for life.
/.Pt is flushed, tachycardic, can't sleep, has brittle hair, and is experiencing weight loss;
what do they have? - Answer-✅Hyperthyroidism
/.Pt has a below normal temperature, hypotension, and hypoventilation; what is the pt
experiencing? - Answer-✅Myxedema coma
/.What conditions would cause the pt to have high BP? - Answer-✅SIADH
Hyperthyroidism
/.What condition would cause a low urine specific gravity? - Answer-✅DI (<1.005)
/.What causes low levels of T3, T4, and high levels of TSH? - Answer-✅Hypothyroidism
/.A pt is urinating 19L a day and constantly drinking; what condition do they have? -
Answer-✅DI
/.What condition do you treat with desmopressin? - Answer-✅DI
Desmopressin is a synthetic ADH (DI you are lacking ADH)
/.What condition do you treat with IV diuretics? - Answer-✅SIADH (because of fluid
retention)
, /.What is the antidote for CT dye and Tylenol? - Answer-✅Mucomyst (acetylcysteine)
/.What is the antidote for heparin? - Answer-✅Protamine sulphate
/.What disorders cause an increase in adverse effects when taking synthroid? - Answer-
✅Cardiovascular disorders (because synthroid increases metabolism which increases
risk for MI, etc)
/.Does blood pressure decrease or increase during a thyroid storm? - Answer-✅BP
increases (because of a spike in metabolism)
/.What disease causes exophthalmos? - Answer-✅Hyperthyroidism (because it's r/t
Grave's disease)
/.What is a clinical manifestation of excess ADH?
A. Hyperkalemia
B. Hypernatremia
C. Hyponatremia
D. Hypermagnesemia - Answer-✅C. Hyponatremia.
/.What hormones are secreted by the posterior pituitary? - Answer-✅ADH
Oxytocin
/.What electrolyte imbalance is d/t the removal of the parathyroid gland during a
thyroidectomy? - Answer-✅Hypocalcemia (low PTH = low calcium)
/.What condition do you treat with IV thyroid hormone? - Answer-✅Myxedema coma
/.In hyperthyroidism, what causes goiter? - Answer-✅High levels of T3 and T4
/.What does HHD and PD increase the risk for? - Answer-✅Infection
/.If a patient is on diuretic medications, what are they at risk for? - Answer-✅Hyper- and
hypokalemia
/.What electrolyte is low in a patient with chronic renal failure? - Answer-✅Calcium
(because it doesn't get urinated out).
/.What symptom is specific to pyelonephritis? - Answer-✅Fever
/.Pt has flank pain, fever, chills, and dysuria; what are they experiencing? - Answer-
✅Pyelonephritis
/.What condition produces uric acid and renal calculi? - Answer-✅Gout
Complete Solutions
/. What disorder causes low serum osmolality?
A. SIADH
B. DI - Answer-✅A. SIADH
/.What disorder causes hemoconcentration of electrolytes?
A. SIADH
B. DI - Answer-✅B. DI (because you are peeing out all of the H2O)
/.What sound is indicative of a post-op thyroidectomy pt declining rapidly? - Answer-
✅Stridor (upper airway obstruction)
/.What would a pt experience with a thyroidectomy? What medication would they be on?
- Answer-✅Pt would experience hypothyroidism.
Pt would be on Synthroid (levothyroxine) for life.
/.Pt is flushed, tachycardic, can't sleep, has brittle hair, and is experiencing weight loss;
what do they have? - Answer-✅Hyperthyroidism
/.Pt has a below normal temperature, hypotension, and hypoventilation; what is the pt
experiencing? - Answer-✅Myxedema coma
/.What conditions would cause the pt to have high BP? - Answer-✅SIADH
Hyperthyroidism
/.What condition would cause a low urine specific gravity? - Answer-✅DI (<1.005)
/.What causes low levels of T3, T4, and high levels of TSH? - Answer-✅Hypothyroidism
/.A pt is urinating 19L a day and constantly drinking; what condition do they have? -
Answer-✅DI
/.What condition do you treat with desmopressin? - Answer-✅DI
Desmopressin is a synthetic ADH (DI you are lacking ADH)
/.What condition do you treat with IV diuretics? - Answer-✅SIADH (because of fluid
retention)
, /.What is the antidote for CT dye and Tylenol? - Answer-✅Mucomyst (acetylcysteine)
/.What is the antidote for heparin? - Answer-✅Protamine sulphate
/.What disorders cause an increase in adverse effects when taking synthroid? - Answer-
✅Cardiovascular disorders (because synthroid increases metabolism which increases
risk for MI, etc)
/.Does blood pressure decrease or increase during a thyroid storm? - Answer-✅BP
increases (because of a spike in metabolism)
/.What disease causes exophthalmos? - Answer-✅Hyperthyroidism (because it's r/t
Grave's disease)
/.What is a clinical manifestation of excess ADH?
A. Hyperkalemia
B. Hypernatremia
C. Hyponatremia
D. Hypermagnesemia - Answer-✅C. Hyponatremia.
/.What hormones are secreted by the posterior pituitary? - Answer-✅ADH
Oxytocin
/.What electrolyte imbalance is d/t the removal of the parathyroid gland during a
thyroidectomy? - Answer-✅Hypocalcemia (low PTH = low calcium)
/.What condition do you treat with IV thyroid hormone? - Answer-✅Myxedema coma
/.In hyperthyroidism, what causes goiter? - Answer-✅High levels of T3 and T4
/.What does HHD and PD increase the risk for? - Answer-✅Infection
/.If a patient is on diuretic medications, what are they at risk for? - Answer-✅Hyper- and
hypokalemia
/.What electrolyte is low in a patient with chronic renal failure? - Answer-✅Calcium
(because it doesn't get urinated out).
/.What symptom is specific to pyelonephritis? - Answer-✅Fever
/.Pt has flank pain, fever, chills, and dysuria; what are they experiencing? - Answer-
✅Pyelonephritis
/.What condition produces uric acid and renal calculi? - Answer-✅Gout
